Pericardial fat mimicking pericardial effusion on two-dimensional echocardiography Academic Article uri icon

Overview

MeSH Major

  • Adipose Tissue
  • Echocardiography
  • Pericardial Effusion

abstract

  • A 78-year-old overweight woman with diabetes mellitus, bronchial asthma, and Sheehan's syndrome on chronic steroid therapy presented with mild short-lived hematemesis, significant hypotension disproportionate to the degree of bleeding and radiographic evidence of cardiomegaly. Endoscopy showed duodenal ulcer. During evaluation of the unexplained brief hypotension and cardiomegaly, 2D-echocardiogram demonstrated anterior and posterior echo-free spaces consistent with large pericardial effusion (PE). However, subsequent elective surgical pericardiotomy unexpectedly revealed large amounts of pericardial fat. Pericardial fat was also noted on magnetic resonance imaging of the chest. Our case illustrates a potential pitfall of 2D-echocardiography in the diagnosis of PE.

publication date

  • May 2006

Research

keywords

  • Academic Article

Identity

Language

  • eng

Digital Object Identifier (DOI)

  • 10.1111/j.1540-8175.2006.00229.x

PubMed ID

  • 16686623

Additional Document Info

start page

  • 400

end page

  • 2

volume

  • 23

number

  • 5